NPI | 1457233645 |
---|---|
Former Name | ANNA WINEGARDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6362010206) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 39) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 6362010206) | |
Enumeration Date | 2025-07-21 |
Last Update Date | 2025-08-11 |